ICD-10 Coding for Fungal Infection Under Breast Fold(B37.2)
Complete ICD-10-CM coding and documentation guide for Fungal Infection Under Breast Fold. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Fungal Infection Under Breast Fold
Key Information: ICD-10 code for fungal infection under breast fold
Essential facts and insights about Fungal Infection Under Breast Fold
Primary ICD-10-CM Code for fungal infection under breast fold
Decision Criteria
clinical Criteria
- Presence of satellite pustules and positive KOH test
documentation Criteria
- Specific mention of Candida or yeast in the documentation
Applicable To
- Candidal intertrigo
Excludes
- Diaper dermatitis (L22)
Clinical Validation Requirements
- Positive KOH microscopy showing pseudohyphae
- Fungal culture confirming Candida species
Code-Specific Risks
- Misclassification if Candida is not confirmed
- Omission of relevant comorbid conditions like diabetes
Coding Notes
- Ensure Candida is confirmed through lab tests before using B37.2.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Erythema intertrigo
L30.4Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Fungal Infection Under Breast Fold to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code B37.2.
Impact
Clinical: May lead to incorrect treatment., Regulatory: Increases risk of audit issues., Financial: Potential for denied claims.
Mitigation Strategy
Train staff on specific documentation requirements, Use templates to ensure completeness
Impact
Reimbursement: Potential underpayment due to incorrect coding., Compliance: Risk of audit failure due to incorrect code usage., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Ensure documentation specifies Candida to use B37.2.
Impact
Using L30.4 instead of B37.2 for confirmed candidiasis.
Mitigation Strategy
Ensure documentation confirms Candida presence before coding.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Fungal Infection Under Breast Fold, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Fungal Infection Under Breast Fold
Use these documentation templates to ensure complete and accurate documentation for Fungal Infection Under Breast Fold. These templates include all required elements for proper coding and billing.
Recurrent Candidal Intertrigo
Specialty: DermatologyRequired Elements
- Location and size of rash
- Presence of satellite pustules
- KOH test results
- Comorbid conditions
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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